Kurose Masayuki, Yamamura Kensuke, Noguchi Makiko, Inoue Makoto, Ootaki Sachiko, Yamada Yoshiaki
Division of Oral Physiology, Department of Oral Biological Science, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Niigata 951-8514, Japan.
Brain Res. 2005 Apr 11;1041(1):72-86. doi: 10.1016/j.brainres.2005.02.003.
Previous studies have shown that jaw reflexes and activity patterns of the jaw muscles were modulated in the presence of jaw muscle pain. However, there is no study comparing the modulatory effects on the jaw reflexes induced by noxious stimulation to the jaw muscle. To clarify this, effects of the application of mustard oil (MO), an inflammatory irritant, into the temporalis (jaw-closing) muscle on (1) jaw-opening reflex evoked by tooth pulp stimulation (TP-evoked JOR) as a nociceptive reflex, (2) jaw-opening reflex evoked by inferior alveolar nerve stimulation as a non-nociceptive reflex and (3) jaw-closing reflex evoked by trigeminal mesencephalic nucleus stimulation as a proprioceptive reflex were investigated in anesthetized rats. The MO application induced suppression of all reflexes, and the effect on the TP-evoked JOR was more prominent than on the other reflexes. To elucidate the involvement of endogenous opioid system for the suppressive effect, a systemic administration of naloxone following the MO application was conducted. The MO-induced suppressive effect on the TP-evoked JOR was reversed by the naloxone administration. The results suggest that noxious stimulation to the jaw muscle modulate jaw reflexes particularly for the nociceptive jaw-opening reflex, and the modulatory effect includes both facilitatory and inhibitory aspects. The results also suggest that pain modulatory systems such as the endogenous opioid system play a crucial role in the suppression of the nociceptive transmissions related to nociceptive reflexes, and in some pathological states, defense reflexes may not be evoked properly.
先前的研究表明,在存在咬肌疼痛的情况下,咬肌反射和咬肌的活动模式会受到调节。然而,尚无研究比较有害刺激咬肌对咬肌反射的调节作用。为了阐明这一点,在麻醉大鼠中研究了将炎性刺激物芥子油(MO)注入颞肌(闭口肌)对以下方面的影响:(1)作为伤害性反射的牙髓刺激诱发的张口反射(TP诱发JOR);(2)作为非伤害性反射的下牙槽神经刺激诱发的张口反射;(3)作为本体感觉反射的三叉神经中脑核刺激诱发的闭口反射。注入MO导致所有反射受到抑制,并且对TP诱发JOR的影响比对其他反射的影响更显著。为了阐明内源性阿片系统对这种抑制作用的参与,在注入MO后进行了纳洛酮的全身给药。纳洛酮给药逆转了MO对TP诱发JOR的抑制作用。结果表明,对咬肌的有害刺激会调节咬肌反射,特别是对伤害性张口反射,并且这种调节作用包括促进和抑制两个方面。结果还表明,诸如内源性阿片系统等疼痛调节系统在抑制与伤害性反射相关的伤害性传入中起关键作用,并且在某些病理状态下,防御反射可能无法正常诱发。